NPI | 1477574119 |
---|---|
Other Name | DR.IZOLDA MIKHAYLOV |
Entity Type | Organization |
Authorized Contact | IZOLDA MIKHAYLOV Medical Director 718-469-0890 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 223885) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-08-22 |